Obstructed labor due to breech presentation, fetus 2

This code signifies a delivery complication where the labor is hindered or prevented from progressing normally because the second fetus in a multiple gestation is presenting in a breech (feet or buttocks first) position. This obstruction necessitates intervention to facilitate birth.

Apply this code when documentation clearly indicates obstructed labor due to a breech presentation specifically for the second fetus in a twin or higher-order pregnancy. Supporting documentation will include details of the fetal presentation, labor progress, and the need for intervention due to the obstruction.

• Ensure the documentation specifies "fetus 2" and not fetus 1 or an unspecified fetus.
• Distinguish from codes for malposition without obstruction (e.g., O32.1XX2 for maternal care for breech presentation, fetus 2).
• Always sequence this code as the principal diagnosis when it is the reason for the admission or encounter, followed by codes for the outcome of delivery.